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SL No. Amount (RS.) Evidence / Particulars Nature of Claim

This document contains details of Abhishek M B's tax deductions and claims for the previous year. It includes: 1. Personal details of Abhishek M B including name, PAN, and date of birth. 2. Details of 7 types of tax deductions and claims made by Abhishek M B including life insurance premiums paid, investments made under Section 80C, medical insurance premiums paid for self and parents, and rent paid. 3. Verification of the information provided by Abhishek M B's signature at the end.

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Jayanth v
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82 views1 page

SL No. Amount (RS.) Evidence / Particulars Nature of Claim

This document contains details of Abhishek M B's tax deductions and claims for the previous year. It includes: 1. Personal details of Abhishek M B including name, PAN, and date of birth. 2. Details of 7 types of tax deductions and claims made by Abhishek M B including life insurance premiums paid, investments made under Section 80C, medical insurance premiums paid for self and parents, and rent paid. 3. Verification of the information provided by Abhishek M B's signature at the end.

Uploaded by

Jayanth v
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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FORM NO.

12BB
(See rule 26C)

1. Name of the Employee Abhishek M B


2. Permanent Account Number of the employee: 1513101021841
3. PF Account Number/UAN 101181439426
3. DOB: 23-04-93

Details of claims and evidence thereof


Sl No. Nature of claim Amount (Rs.) Evidence / particulars
(1) (2) (3) (4)
Interest received from following Investments
a. Bank ( Saving /FD /Rec )
1 b. N.S.C.(accrued/ Recd )
c. Post Ofice M.I.S (6 yrs.)
d. Post Office Recring Deposit (5 yrs.)
Rental Income details
2
a. Monthly Rent 8000
Deduction of House Rent Allowance:
(i) Rent paid to the landlord
(ii) Name of the landlord
3 (iii) Address of the landlord
(iv) Permanent Account Number of the landlord
Note: Permanent Account Number shall be furnished if the aggregate rent paid
during the previous year exceeds one lakh rupees
Deduction of interest on housing loan (Sec 24)
(i) Interest payable/paid to the lender
4
(ii) Name of the lender
(iii) EMI Statement
Deduction under Sec 80C (Max Rs.1,50,000/-)
A. EPF & VPF Contribution
B. Public Provident Fund (PPF)
C. Senior Citizen’s Saving Scheme (SCSS) -
D. N.S.C (Investment + accrued Interest before Maturity Year)
E. Tax Saving Fixed Deposit (5 Years and above)
F. Tax Savings Bonds
G. E.L.S.S (Tax Saving Mutual Fund)
5
H. Life Insurance Premiums 12,152
I. New Pension Scheme (NPS) (u/s 80CCC)
J. Pension Plan from Insurance Companies/Mutual Funds (u/s 80CCC)
K. 80 CCD Central Govt. Employees Pension Plan (u/s 80CCD)
L. Housing. Loan (Principal Repayment)
M. Sukanya Samriddhi Account
N. Stamp Duty & Registration Charges
O. Tuition fees for 2 children
6 Deduction under Sec 80CCD NPS (Max Rs 50,000/-)
Deduction under chapter VI A
A. 80 D Medical Insurance premiums (for Self )
B. 80 D Medical Insurance premiums (for Parents)
C. 80 E Int Paid on Education Loan
D. 80 DD Medical Treatment of handicapped Dependent
7
E. 80DDB Expenditure on Selected Medical Treatment for self/ dependent
F. 80G, 80GGA, 80GGC Donation to approved funds
G. 80GG For Rent in case of NO HRA Component (Budget 2016)
H. 80U For Physically Disable Assesse
I. 80TTA (Rs 50,000 for Senior Citizens & Rs 10,000 for others) (Budget 2018)
Verification
I, ….Abhishek M B…. ,son/daughter of…... Basavarajiah C M... do hereby certify that the information given above is complete and correct.
Place: Bengaluru
Date: 20-11-2020 (Signature of the employee)
Designation: Graphic Designer Full Name: Abhishek M B

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